Organization
ADAK-2 ENTERPRISES
Active
Other names
Smile Cove Pediatric Dentisty
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CHANDLER (PRACTICE MANAGER)
(863) 640-0555
Entity
Organization
Contact information
Practice address
6415 SHELDON RD, TAMPA, FL 33615-3102
(813) 880-0100
Mailing address
6415 SHELDON RD, TAMPA, FL 33615-3102
(813) 880-0100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457719627
DENTIST
FL
Enumeration date
02/22/2023
Last updated
02/22/2023
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